Organization
BETHEL ELEMENTARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY D BREWER (DIRECTOR OF ADMINISTRATIVE SERVICES)
(606) 674-6396
Entity
Organization
Contact information
Practice address
4326 N HWY 11, SHARPSBURG, KY 40371
(606) 247-2621
Mailing address
PO BOX 555, OWINGSVILLE, KY 40360
(606) 674-6396
(606) 674-3071
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558561910
SANDY ELLINGTON, MS,RD,LD,CDE
KY
01
—
1588668339
DR. ESKEW
KY
05
—
20006060
—
KY
Enumeration date
03/12/2007
Last updated
09/11/2008
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